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World Class Care. ., Anytime, Ajiywhere 

Issue 7 
Julyl 10, 2009 

Inside this Issue : 

AdmiraVs Call by the Surgeon 
General of the U.S. Navy 
Vice Admiral Adam. M. 
Robinson, Jr. 

NHB Corpsman Receives Purple 

NH Pensacola's Wilkes Becomes 
Northwest Florida's Only Certified 
Breast Patient Navigator 

USAID, Comfort work Together to 
Ensure Success of Continuing 
Promise 2009 

Tactical Combat Casualty Care 
Training; NMCP East Coast 
Training Hub 

80 Future Doctors Graduated at 
Naval Medical Center Portsmouth 

NMSC's Facilities Department 
Receives Recognition for Joint- 
Service Collaboration 

West Nile Virus (WNV). More than 29 
thousand people in the U.S. have been 
reported with WNV disease since 1999, 
and of those 1 1,000 have been seriously 
ill and over 1 ,000 have died. But re- 
member, people can develop WNV from 
mosquito bites. Symptoms include fe- 
ver, headache, body aches and nausea. 
There are a few things you can do to 
avoid bug bites. You can use a repel- 
lent. Use it on your skin, when you go 
outside. And not just on you, but on 
family and friends too. Wearing pants 
and long sleeve shirts will also help pro- 
tect you and your loved one from bites. 
For more information on WNV, visit 
http ://www.cdc.go v/Features/ 

Navy and Marine 
Corps Medical News 

A Public Affairs Publication of the Bureau of Medicine and Surgery 

Naval Health Clinic Corpus Christi First 
DoD MTF to Achieve Star Status 

By Bill W. Love, Naval Health Clinic 
Corpus Christi Public Affairs Office 


Naval Health Clinic Corpus Christi 
(NHCCC) celebrated a milestone 
June 12 after becoming the first 
Military Treatment Facility in the 
Department of Defense to receive 
the Occupational Safety and Health 
Administration (OSHA) Voluntary 
Protection Program (VPP) Star site 
award for promoting effective 
worksite- based safety and health. 

OSHA representative Tony 
Fuentes, assistant director for the 
Corpus Christi area, expressed opti- 
mism when he presented the award 
to NHCCC Commanding Officer 
Capt. Randall G. Kelley, that the 
command would serve as a path- 

finder and set the bar high for eve- 
rybody else to meet. 

"What we want to do is encour- 
age you to keep up the intensity in 
which the facility displayed in 
achieving this standard," remarked 
Fuentes. "It is a notable achieve- 
ment to be the first medical treat- 
ment facility in DoD." 

The award culminated a process 
that was the result of several years 
of promoting a safe working envi- 
ronment, coupled with an extensive 
application and training procedure 
that began approximately one year 
ago under the command of Capt. 
Robert B. Sorenson. 

"I am extremely proud of the 

(Continued on page 3) 

LA UNION, El Salvador - Medical staff members aboard the Military Sealift Command hospital 
ship USNS Comfort (T-AH 20) perform frontal bone debulking and recontour surgery on a 16- 
year-old patient during a Continuing Promise 2009 medical service project June 24. Comfort 
has 250 patient beds and more than 850 embarked personnel, employing five operating rooms, 
x-ray machines, CT scan, pharmacy, dental suites, physical therapy and a variety of other ser- 
vices. U.S. Army photo by Spc. Eric J. Cullen 


Page 2 

Admiral's Call by the Surgeon General of the U.S. Navy 
Vice Admiral Adam. M. Robinson, Jr. 

Navy Medicine - Focusing on the Future 
Strategy Management 

Earlier this spring, I gathered 
senior leaders of Navy Medicine 
together to share a strategic level 
focus on current and future com- 
mitnnents, and to establish a com- 
mon understanding of Navy Medi- 
cine's challenges, realities and di- 
rection. I challenged them to in- 
dentify impacts, gaps and solutions. 
In just a few long days filled with 
strategic conversation, the atten- 
dees, working in small groups and 
full interactive dialogue, success- 
fully targeted optimal outcomes 
across a broad range of issues. My 
headquarters staff gathered and 
collated the symposium documents. 
Dozens of 'ready for action' ideas 
have been identified, categorized 
and catalogued into initiatives that 
are being analyzed, prioritized and 
implemented where appropriate. 
Other emerging solutions will re- 
quire more complex and lengthy 
analysis, development and imple- 
mentation, and are being incorpo- 
rated into the Navy Medicine strate- 

gic planning cycle. I have asked 
the Deputy Surgeon General to 
press ahead on nine initiatives 
needed now, including: 

Capture all workload, including 
that performed outside our 
treatment facilities. 
Develop robust mental health 
intervention tools. 
Develop and promulgate the 
Navy Medicine Research and 
Development plan, 
Indentify relevant capabilities 
for emerging expeditionary mis- 

Ensure comprehensive under- 
standing and articulation of di- 
versity in Navy Medicine, 
Improve coordination of real 
time Fleet and operational 
health service support require- 

Improve accuracy and timeli- 
ness of DMHRSi and EMPARTS, 
Increase Electronic Health Re- 
cord interface application in all 

health service support missions, 
and Increase Electronic Health 
Record usability and informa- 
tion transfer. 

Some of these initiatives are 
headquarters work. Others involve 
subordinate commands and still 
others impact every individual 
across Navy Medicine. As I charged 
the attendees at the Symposium, 
this is a call to ACTION. As a mili- 
tary force, your first priority is the 
defense of the United States of 

(Continued on page 4) 

Naval Medical Center Portsmouth — Fully Re-Accredited 

Naval Medical Center Portsmouth has been fully re-accredited, 
earning the Joint Commission's Gold Seal of Approval. 

The commission evaluates and accredits nearly 15,000 health 

care organizations and programs in the United States, including 

more than 8,000 hospitals and home care organizations. 

The accreditation is for three years. 


f Issuer 


NHB Corpsman Receives Purple Heart 

By Douglas H. Stutz, Naval Hospital Bremerton Public 
Affairs Office 

BREMERTON, Wash. - Hospital Corpsman V Class 
Danrung Vanichkul was recently recognized with the 
Purple Heart nnedal for wounds sustained during com- 
bat operations in support of Operation Enduring Free- 
dom in Afghanistan. The ceremony was held at Naval 
Hospital Bremerton's Naval Branch Health Clinic Ban- 

It was with about a week remaining in his year-long 
lA deployment to Helmand Province, southern Afghani- 
stan, that Vanichkul's world was completely blown 

His squad had followed intelligence reports of a con- 
centration of Taliban insurgents gathered at a remote 
village. "It was our job to head out to the area and 
clean them out of there," said Vanichkul. An ensuing 
firefight broke out that lasted more than three hours. 
"They took off and we pursued them. It was during our 
chase that they got lucky," he said. 

A land mine hastily placed by the retreating Taliban 
insurgents was stepped on by a squad member. The 

NHCCC continued... 

ensuing blast severely injured a Soldier, flung shrapnel 
into Vanichkul and lifted him 15-meters off the ground. 

"The guy was right besides me when the mine went 
off," explained Vanichkul. "I was knocked unconscious. 
When I came to, my first concern was automatically for 
my personnel." 

Vanichkul's subsequent actions on the battlefield were 
the result of his prior training and continuous knowledge 
gained from having been on over 200 combat operations 
before that day during his time attached to US Army Re- 
gional Police Advisory Command, Afghanistan Regional 
Security Integration Command (ARSIC) South. 

"I don't remember how long I was knocked out but it 
wasn't long," said Vanichkul. "I do remember immediately 
wondering if everyone else was alright. When we are in a 
situation with actual wounded, that's when all the drills 
and training we do takes over our actions. There was no 
time to think or react, just to do what we do as a hospital 

"I've never had such an honor of presenting a medal of 
this magnitude. I'm just speechless and so proud," said 
Captain Mark Brouker, Naval Hospital Bremerton Com- 
manding Officer. 

(Continued from page 1) 

efforts of our command," stated 
Kelley. "This milestone is not only 
particularly important in the way 
that we promote safety, it also 
shows that NHCCC leads the way." 

A team of NHCCC military and 
civilian staff closely examined occu- 
pational safety at the facility with a 
hands-on approach. 

"This committee was pure deck 
plate," said Kelley. 

After extensive training and 
monthly inspections, the team pre- 
sented its goals and objectives to 
the Executive Steering Committee 
for buy-in. 

Using information gleaned from 
OSHA assist visits, the command 
prepared and then formally submit- 
ted an application in August 2008. 

During a formal inspection in 
November 2008, the OSHA team 
appraised NHCCC's program and 
documentation. They also con- 
ducted interviews throughout the 
command. Basing their recommen- 
dations on the staff's knowledge 
and willingness to participate, and 
the command's established safe 
working environment, NHCCC 
passed with zero discrepancies. 

According to Ricky G. Foust, the 
command's Safety and Occupa- 
tional Health Manager, lots of hard 
work, time and dedication by the 
Safety Department, Industrial Hy- 
giene Department and the Occupa- 
tional Health Department set the 
standard for the program's success. 

"Am I surprised that we were 
able to achieve this," explained 
Foust, "the answer is no. The OSHA 
VPP Program is a perfect fit for 
Navy Medicine. Where else would 
you find an entire facility dedicated 
to the health and well being of oth- 
ers? It is our everyday philosophy 
of taking care of our shipmates and 
the service members that we 

The highlight of the ceremony 
was the raising of the VPP flag by 
the NHCCC color guard. The flag is 
recognition of achievement and 
dedication, and signifies the com- 
mand's commitment to safety and 

"Now that we have received this 
award," stated Kelley, "it is our ob- 
ligation to continue our commit- 
ment to occupational safety and 
health. We will continue our train- 
ing and make sure our staff and our 
patients are aware just how impor- 

CORPUS CHRI STI , Texas Capt. R. G. 
Kelley, the commanding officer at Naval 
Health Clinic Corpus Christi, lifts the Occu- 
pational Safety and Health Administration 
(OSHA) Voluntary Protection Program (VPP) 
star Award after OSHA representative Ton^ 
Fuentes (left), assistant director for the ■ 
Corpus Christi area, made the presentation 
with Ricky G. Foust, the command's Safety 
and Occupational Health Manager (center). 
U.S. Navy photo by Bill W. Love 

tant safety, and their safety, is to 
us. NHCCC leadership encourages 
participation by all." 


Page 4 

NH Pensacola's Wilkes Becomes Northwest Florida's Only 
Certified Breast Patient Navigator 

From Naval Hospital Pensacola Pub- 
lic Affairs Office 

PENSACOLA, Fla. - The Na- 
tional Consortium of Breast Centers 
(NCBC) recently announced that 
Naval Hospital (NH) Pensacola's 
Breast Health Coordinator, Michelle 
R. Wilkes, has received the desig- 
nation of Certified Breast Patient 
Navigator through the completion 
of NCBC's certification program. 
This makes her the only certified 
'Navigator' throughout Northwest 
Florida and one of only nine in the 

"I 'm very proud of the Naval 
Hospital for being a leader with the 
long-term vision to provide support 
for its breast cancer patients with 
sensitivity," said Wilkes, who has 
been on the job for more than six 

The certification validates 
Wilkes' knowledge and skills in 
navigating breast patients through 
their continuum of care at the Navy 

hospital. Her choice to participate in 
the certification program "shows 
her personal and professional com- 
mitment to providing quality care 
for patients," according to an NCBC 
media release. 

"This is a great professional 
milestone for Wilkes," said hospital 
Commanding Officer Captain Mary- 
alice Morro, "and underpins NH 
Pensacola's commitment to deliver- 
ing the highest quality of care." 

Certified Breast Patient Naviga- 
tors directly benefit patients by per- 
sonally guiding them through a 
highly-individualized care process. 
Patients are guided through the 
continuum of care knowing how to 
contact the appropriate staff on 
whom they will depend for services 
and support throughout various 
stages of healthcare. 

During breast cancer navigation, 
Wilkes, who earned her nursing 
degree at the University of Mem- 
phis, will guide patients with a sus- 
picious breast abnormality through 

and around barriers in complex 
cancer care systems to help ensure 
timely diagnosis and treatment. 

"Wilkes is an invaluable part of 
the General Surgery clinic and is a 
true asset to our patients with 
Breast health issues," said Capt. 
Joseph DeFeo, general surgeon. 
"The naval hospital is lucky to have 
such a dedicated and knowledge- 
able individual working for us." 

According to Capt. John Raheb, 
Director of Surgical Services, Wilkes 
is "compassionate, proactive, dedi- 
cated, empathetic and resourceful." 
She has been "successfully navigat- 
ing the care of our breast patients 
for as long as I have been here," he 
continued. "This formalizes and rec- 
ognizes her unique skills and tal- 
ents. We are very proud and grate- 

Pensacola has offered breast 
health coordination for patients for 
more than 10 years ... "longer than 
anyone in the area," said Wilkes. 

Surgeon General column continued... 

(Continued from page 2) 

America. In addition, as healthcare professionals in the 
Department of the Navy, we have an ingrained concept 
of care that places our patients and families at the cen- 
ter of all we do. These foundational principles echo the 
Navy core values of honor, courage and commitment 
and are embedded in and reinforced by our every action. 
Our medical community is second to none. Our credibil- 
ity starts with what is observable, and our commitment 
to excellence is unmistakable. The collective teamwork 
and enthusiasm that radiated from Navy Medicine's sen- 
ior leaders during the strategic symposium resulted in 
tangible products that will drive optimal outcomes in 
supporting current and future commitments. It's more 
than just a strategic conversation. We're taking action! 
I have challenged the flag officers of Navy Medicine 
and my headquarters staff to listen, learn and lead by 
taking the input from these strategic conversations and 
incorporating it into the Navy Medicine Strategic Goals in 
our FYlO-15 Strategic Plan. The goal champions are 
reviewing and revising, debating and discussing, clarify- 
ing and crafting the way ahead. They have listened to 
the feedback and input from our strategic symposium; 
they are learning from these cogent conversations; and 
they are leading the development of the Navy Medicine 
Strategic Plan for fiscal years 2010-2015. Based on the 

current timeline developed by my Office of Strategy Man- 
agement, the Bureau of Medicine and Surgery will release 
the FYIO Strategic Action Plans this summer, to be imme- 
diately followed by the development and promulgation of 
FYIO Plans by Navy Medicine East, Navy Medicine West, 
Navy Medicine National Capital Area, and Navy Medicine 
Support Command. Echelon IV commanding officers will 
align their command focus to bring all of Navy Medicine 
to green on the cascading metrics. Every person in Navy 
Medicine will know our strategic goals and will align his or 
her activities and actions in support of our force health 
protection mission. 

With our ethos of service above self. Navy Medicine's 
people will continue to perform our dual mission of pro- 
viding health service support around the globe in dynamic 
environments, as well as delivering the healthcare benefit 
in fixed treatment facilities to all beneficiary categories. 
This is not a trade-off. It is totality of what we must do. 
Our dynamic environment demands that we demonstrate 
innovation, transformation, collegiality and diplomacy 
with a diverse collection of co-workers, allies, and organi- 
zations. By focusing on first principles, we will achieve 
our strategic goals. We will continue to take care of our 
people, and make that we are working on the right things 
to accomplish the desired outcomes. The time to lead is 
now. I'm proud to serve as your Surgeon General as we 
focus on the future. 




USAID, Comfort work Together to Ensure Success of Continu- 
ing Promise 2009 

By Mass Communication Specialist 2nd Class Marcus 
Suorez, USNS Comfort Public Affairs 

LA UNI ON, El Salvador - I n J anuary, Secretary of 
State Hillary Rodham Clinton said, "As we look toward 
the future, it is essential that the role of U.S. Agency 
for Internal Developnnent (USAID) and our other for- 
eign assistance programs be strengthened and be ade- 
quately funded and be coordinated in a way that makes 
abundantly clear that the United States understands 
and supports development assistance." 

Over the past three months, the USAID has worked 
closely with the Department of Defense (DoD) to aid 
Continuing Promise 2009 - a four month humanitarian 
and civic assistance mission to Latin America and the 
Caribbean incorporating all branches of the U.S. Armed 
Forces, nine international partners and more than 20 
non-government organizations. 

USAID is an independent government agency under 
the U.S. Secretary of State that provides assistance to 
democratic nations in the areas of economic growth, 
agriculture and trade, education, humanitarian assis- 
tance and healthcare. 

"USAID aids countries that want our assistance," 
said USAID political advisor Melissa Francis. "We try to 
help as many people as possible and we've found while 
working with the military on Continuing Promise 2009 
that we can reach out and help people we wouldn't nor- 
mally be able to." 

"USAID has a very tight budget that is regulated for 
specific uses by the Secretary of State," Francis said. 
"The military has a much larger budget and the capa- 
bilities to reach out to people who may not otherwise 
receive aid." 

The Military Sealift Command hospital ship USNS 

LA UNION, El Salvador - Lt. Dinorah Cely, a nurse and Spanish trans- 
lator onboard hospital ship USNS Comfort (T-AH 20), translates for Lt. 
Cmdr. Kelly Hamon, pediatric nurse practitioner onboard Comfort, as 
they diagnose a young Salvadoran boy with cold symptoms, a skin rash 
and diarrhea at the Escuela Ramon Mendoza school J une 30 here. U.S. 
Air Force photo by Airman 1st Class Benjamin Stratton 

Comfort (T-AH 20), which is carrying out Continuing Prom- 
ise 2009, has received millions of dollars in donations from 
various non-government agencies. Through USAID, Com- 
fort was able to identify where the donations would be 
best used. 

"Without USAID, we wouldn't have been able to get the 

(Continued page 7) 


Rear Adm. William Kiser, 
commander. Naval Medi- 
cal Center Portsmouth, 
(fourth from right), and 
members of Navy Envi- 
ronmental and Preventive 
Medicine Unit No. 2 broke 
ground at Norfolk Naval 
station on May 19, mark- 
ing the official beginning 
of construction for their 
new facility. U.S. Navy 
photo by Mass Communi- 
cations Specialist 2"^^ 
Class (SW/AW) William 

Julyl 10, ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ 

Tactical Combat Casualty Care Training; NMCP East Coast 
Training Hub 

Page 6 

From Naval Medical Center Ports- 
mouth Public Affairs Office 

PORTSMOUTH, Va. - Naval 
Medical Center Portsmouth is an 
accredited training hub for the East 
Coast to teach soon-to-deploy 
medical personnel - officer and 
enlisted - how to provide lifesaving 
medical procedures in the environ- 
ment in which injury occurs: the 

Tactical Combat Casualty Care 
(TCCC) is a three-day training 
course with classroom study and 
hands-on medical care in a simula- 
tion laboratory with mannequins. It 
concludes in a simulated combat 
environment in the rough terrain of 
Fort Story's obstacle course in Vir- 
ginia Beach. Designed to prepare 
forward-deploying corpsmen to be 
the "Doc" on scene for wounded 
Marines and Soldiers serving down- 
range, often in harm's way, TCCC is 
a compact and intensive training 
course that results in lives saved in 
combat zones. Regardless of the 
medical echelon assigned to, all 
military medics are Echelon I med- 

The "O" course turned hostile 
combat environment at Fort Story 
uses Improvised Explosive Device 
(I ED) explosions, the hammering 
sounds of small-arms fire and train- 
ers rattling off the battle scenario to 
the "Doc" who is clad from head to 
toe in protective gear, a medical kit 

and a rifle. Various emergencies 
are played out, including dragging 
an unconscious 200-pound Marine 
off the "X" to a safe, protected spot 
before administering first aid under 

Combat casualty care was based 
on civilian trauma standards. For 
nearly 35 years, this was the foun- 
dation on which Emergency Medical 
Treatment (EMT) was taught. Then 
the world environment changed: 
Military missions became more 
complex, lengthy and dangerous. 
Along with the changing environ- 
ment, wounds - war wounds - be- 
came more catastrophic. Civilian 
trauma strategies no longer worked 
and military medicine had to adapt 
to meet the new harsh and dynamic 

"I returned from Al Taqaddum in 
2005 and I realized the need to cre- 
ate this training course based on 
my experience of providing medical 
care in the most austere and some- 
times hostile environments," said 
Cmdr. Thomas Craig, Medical 
Corps, Associate Director of NMCP's 
Professional Education Emergency 
Medicine, and founder of NMCP's 
TCCC training course. 

"As an emergency medicine 
doctor I worked in a lot of trauma 
centers and knew a lot going into 
Iraq," Craig reflected. "But I 
learned a lot of things that civilian 
trauma centers or books can't pre- 

pare you for." 

Craig's tour in Iraq was the im- 
petus that forced TCCC back to the 
drawing board. 

In 1996, proposed combat care 
techniques based on Special Opera- 
tions were published, but not ac- 
cepted, by military medicine. In 
2007, the Navy's Bureau of Medi- 
cine and Surgery (BUMED) recog- 
nized the difference between civil- 
ian and Special Operations combat 
care and endorsed TCCC. Today, 
one of the three authors of the 
1996 publication. Tactical Combat 
Casualty Care in Special Opera- 
tions, Capt. Frank Butler Jr., Medi- 
cal Corps, USN (ret), serves as an 
advisor to NMCP's TCCC course. 
Between Craig's 2005 Iraqi tour and 
BUMED's 2007 endorsement, a 
grassroots effort began to bring 
military trauma care into the 21^^ 
century. Lessons learned were 
gathered, techniques were ana- 
lyzed, front line combat care ex- 
periences were shared by veteran 
corpsmen (usually doctors and 
nurses do not serve that far for- 
ward), and TCCC started to take 

Techniques once believed to be 
dangerous became a staple for bat- 
tlefield medicine, like applying tour- 
niquets. Standard Operating Proce- 

( Continued on page I 

80 Future Doctors Graduated at Naval Medical Center 

From Naval Medical Center Portsmouth Public Affairs Of- 


The intern class of 2008 graduated at Naval Medical 
Center Portsmouth at 10 a.m. on Monday, June 29. The 
ceremony took place in the Building 3 (high-rise) audito- 

This year's class composed of 74 Navy interns and 
six Air Force interns. 

As first-year medical officers, they have completed 
internship training in Internal Medicine, Obstetrics and 
Gynecology, Orthopedics, Otolaryngology, Pediatrics, 
Psychiatry, Surgery and the Transitional Year Pro- 

grams. Unlike civilian programs, NMCP's interns are 
trained to serve their country as officers as well as to be 
physicians. They complete a rigorous program of general 
medical training to support the nation's military forces 
around the world. Upon graduation, they will be eligible 
for their medical license. 

The guest speaker will be Vice Adm. Adam Robinson, 
Surgeon General of the Navy was the guest speaker for 
the graduation 

Throughout 2009, NMCP is celebrating 85 years of 
Graduate Medical Education, which started in the Navy in 


Julyl 10,: 


NMSC's Facilities Department Receives Recognition for Joint- 
Service Collaboration 

By Mass Communications Specialist 1^^ (SW) Arthur N. De 
La Cruz, Navy Medicine Support Command Public Affairs 

WASHINGTON, D.C. - Navy Medicine Support Com- 
mand's (NMSC) Facilities Department was recognized as 
one of the winners of the fiscal year 2008 Department of 
Defense (DoD) Value Engineering Achievement (VEA) 
Awards at a ceremony held at the Pentagon J une 17. 

The U.S. Army Corps of Engineers, Louisville District, 
nominated the Wright- Patterson Air Force Base (WPAFB) 
Human Performance Wing Project (HPWP) Team for a 
special VEA award given by the DoD. NMSC's Facilities 
Department and the Naval Aerospace Medical Research 
Laboratory (NAMRL) staff were a part of that HPWP team. 

"The award is for one of the BRAC (Base Realignment 
and Closure) projects we're managing: the HPWP in Ohio 
and the NAMRL relocation that's currently in Pensacola," 
said Michael Plante, NMSC's facilities director. "I've per- 
sonally been involved in the project since March of 2005 
with the original BRAC announcement." 

"But the coordinator has been NMSC Facilities Project 
Officer Lt. Paul Benoit and the NAMRL staff headed by 
Cmdr. Rita Simmons. Though it's my name on the actual 
plaque, they're the ones who should be recognized for 
this because it really is a very significant team effort, and 
the award should be a Navy team award," he said. 

NAMRL was designated by the BRAC commission to 
CO- locate with the Air Force at WPAFB as part of the BRAC 
2005 action. This move not only brought the Navy to 
Ohio. It also closed and moved the Air Force Mesa re- 

Comfort continued... 

search site from Arizona, and the Brooks City- Base ac- 
tivity from Texas. 

The project was selected for the award for the Navy, 
Air Force and Army collaborative use of value engineer- 

Value engineering is a systematic process of function 
analysis to identify actions that reduce cost, increase 
quality and improve mission capabilities across the en- 
tire spectrum of DoD systems, processes and organiza- 

The Value Engineering Awards Program is an ac- 
knowledgment of exemplary achievements and encour- 
ages additional projects to improve in-house and con- 
tractor productivity. Award winners from each DoD 
component are eligible for selection in the following five 
categories: program/ project, individual, team, organiza- 
tion and contractor. Additional "special" awards are 
given to recognize innovative applications or approaches 
that expand the traditional scope of value engineering 

"The point of BRAC is to save money through col- 
laboration, and the intent of this collaboration was to put 
scientists with like concepts and like ideas from both the 
Navy and Air Force in close proximity of one another to 
help foster new ideas, which is exactly what this has 
done," said Plante. "When you put things together, you 
don't only gain efficiencies from a building perspective." 

The end cost for this BRAC project came to $195 mil- 
lion. And thanks to collaborative value engineering, the 
overall project saved $45 - $50 million. 

(Continued from page 5) 

donated supplies to the people who 
need them the most," said Lt. Mar- 
tin Battcock, a maritime civil affairs 
officer with Comfort who has 
worked closely with USAID through- 
out the mission. 

"USAID has an established rela- 
tionship with the non-government 
organizations (NGO) in these coun- 
tries that we, the military, don't," 
Battcock said. "They identified to us 
which organizations can use and 
can distribute the supplies best. 
They are the subject matter experts 
in the area of humanitarian aid in 
these countries, and it is important 
for us to work with them in these 

Other than the distribution of 
donations. Comfort crew supple- 
mented several USAID projects in 
countries they visited. USAID sup- 
ports numerous low sustainability. 

high impact projects throughout the 
countries in which they operate. 

"We're here to compliment 
USAID," Battcock said. "They have 
established programs and projects 
and we want to lend a helping hand 
where ever they ask. At the same 
time, we don't want to be a burden 
or hinder their projects." 

One such project is the creation 
of an ecotourism site at the Embera 
village of Ella Drua in Panama along 
the Rio Gatun River. The Embera 
tribe is one of seven indigenous 
groups to the Republic of Panama. 
To protect their customs and way of 
life, the Embera people, along with 
the help of USAID, have begun 
making their village more tourist- 

At the Embera village, more 
than 100 crew members from Com- 
fort dedicated hundreds of man- 
hours to the hauling and laying of 
concrete and piping to create a dam 

to provide the village with fresh, 
running water. 

"We thank the members of 
Comfort who have taken the time 
to come out here and help us," said 
a village spokesman. "In a week 
they have saved us months of la- 

Julio Segovia, a program devel- 
opment specialist for USAID and 
the point of contact from USAI D for 
the military in El Salvador, said it 
has been an honor working with 

Segovia said this mission shows 
what can happen when different 
branches of the government work 
together to accomplish a single ob- 

"This is the first time USAID has 
been invited to participate in this 
type of mission," Segovia said. "The 
mission was accomplished and 
we're happy to have been given the 
opportunity to be involved in it." 

Tactical Combat Casualty Care continued... 

(Continued from page 6) 

dures for medical attention were 
reset. The ABC's - Airway, Breath- 
ing, Circulation - clearing the air- 
way and administering CPR is the 
standard for civilian care environ- 
ments. Not so for a corpsman 
tending to the wounded in a hot 
zone while taking fire. 

In care-under-fire environ- 
ments, security is the best lifesav- 
ing technique: gaining fire superior- 
ity. Next, control bleeding; tourni- 
quets, still not the best long-term 
solution for hemorrhage control, 
have been credited for saving lives 
and limbs when used properly. 
Then the airway is checked. This is 
known as MARCH: Massive Bleed- 
ing, Airway, Respirations, Circula- 
tion, Head (injuries). 

NMCP has sent health care pro- 
viders downrange in earnest since 
2003 when the first Fleet Hospital 
was established in Kuwait. It is 
common for a health care provider 
who's had two or three individual 



World Class Care, . .Anytime, Anywhere 

bureau of Medicine and Sun 

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Fax: 202-762-1705 

augmentee (I A) tours to now be a 
TCCC student preparing for yet an- 
other tour. 

Lt. Shelly Maurer, Director, Tac- 
tical Combat Casualty Care for 
NMCP and TCCC co-founder, is a 
combat veteran nurse. She de- 
ployed without the benefit of TCCC 
training and served as an Enroute 
Care Nurse in Afghanistan. "When 
I was deployed, I had a couple of 
unique opportunities to witness the 
level of expertise required of the 
corpsmen who were at patients' 
sides the minute they got injured," 
said Maurer. "I was amazed at the 
ingenuity of these guys and I real- 
ized how little knowledge we actu- 
ally pre-loaded them with when 
they were sent into these environ- 

Maurer's experiences during her 
tour in Afghanistan helped create 
and form TCCC training. "TCCC is 
unique in that it is based on knowl- 
edge gained by military service 
members downrange," explained 
Maurer. Corpsmen "are looking 
their (injured) buddies in the eye as 
they lie there depending on them. 
They think, 'I wish someone had 
taught me how to...'. I want to be 
that someone." 

NMCP has conducted TCCC 
training since August 2007 and 
plans to put as many as 400 health 
care providers through this now- 
required training annually. Maurer 
takes the mission seriously and to 

"As a Navy nurse, my mission is 

ultimately to train Navy corpsmen 
to be an extension of the doctors 
and nurses who can't be in the bat- 
tlefield with our troops," she said. 
"When I teach them a new skill or 
lifesaving technique, I picture a 
loved one hunkered down in a fox- 
hole somewhere, bleeding out with 
life-threatening injuries. I can't be 
there, so I try to give those corps- 
men as much knowledge as I can in 
a way that allows them to save that 
life. That is my mission." For 
every wounded service member 
who returns home to their family, 
it's a victory for Maurer and Naval 

The TCCC curriculum, finally 
recognized, endorsed and estab- 
lished with BUMED's blessing, is 
dynamic. Health care providers like 
Craig and Maurer and a stream of 
returning corpsmen are relentless 
in keeping TCCC current and viable. 
Maurer said new techniques based 
on current research are brought 
back every day from the front lines. 
While the course is still considered 
in its infancy, the attrition of in- 
structors was anticipated. NMCP 
developed its own instructor train- 
ing course for TCCC to ensure the 
training remains self-sufficient and 
on line. 

"Since the inception of TCCC, 
we have battle- readied 300 health 
care providers to forward deploy 
with combat forces," said Craig. 
"Navy Medicine always be prepared 
to serve anywhere." 

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